Distal arterial splenic embolization via collaterals: report of two cases.
Two patients were treated for bleeding gastric varices, developed due to splenic vein occlusion. In one patient with occlusion of the main splenic artery, splenic embolization performed via collaterals facilitated open splenectomy with minimal blood loss. In another patient, bleeding from the gastric varices stopped after partial arterial splenic embolization performed via the accessory left gastric and inferior phrenic arteries. No complications were encountered.
Li
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Department of Radiology, Peking Union Medical College Hospital, Beijing, China. xglee88@yahoo.com.cn
Cwikiel
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Dasika
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Cho
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D000180:Acrylic Resins / Q000627:therapeutic use; D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003097:Collateral Circulation; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D005780:Gelatin / Q000627:therapeutic use; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008875:Middle Aged; D011856:Radiographic Image Enhancement / Q000379:methods; D013156:Splenectomy; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed; D014689:Venous Insufficiency / Q000150:complications / Q000503:physiopathology*
D000180:Acrylic Resins; D003287:Contrast Media; C496735:trisacryl gelatin microspheres; D005780:Gelatin